Loading...
HomeMy WebLinkAboutNCG030009_MONITORING INFO_20190405STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. OD q DOC TYPE ❑HISTORICAL FILE Cy'MONITORING REPORTS DOC DATE ❑ D��OS� D� YYYYMMDD w Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted April2019 CERTIFICATE OF COVERAGE NO. NCG03 0 0 0 9 SAMPLE COLLECTION YEAR 2019 FACILITY NAME Thomas Built Buses, 715 w Fairrield Road, High Point SAMPLE PERIOD 0 Jan -June © July -Dec COUNTY Guilford/Randolph or © Monthly' (month) IN DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA PERSON COLLECTING SAMPLES Jeff Gerlock RL LABORATORY Pace Lab Cert. # 12/37706 d "� ❑Zero -flow [:]Watersupply [:]SA Comments on sample collection or analysis: MAY 16 2019 *Other III Part A: Stormwater Benchmarks and Monitoring Results :-EhTIAL FILI7S PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION [] No discharge this period?z Outfall No. Date Sample Collected' (mo/cid/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 5WO-1 4/5/2019 0.81 22.4 6.72 <0.005 <0.005 0.0491 <5 NA 5WO-2 4/5/2019 0.81 125 6.3 0.0144 0.005 0,0729 <5 NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) _VP � 5 Title (Print le) -A IC I Signature Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L', where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. pate Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' New Motor oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L° Parameter Code - 46529 NCO1L 00552 C0530 Not Applicable Footnotes from Part A also apply to Part B Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES EINO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES M NO REGIONAL OFFICE CONTACT NAME: Corey Basinger IAnna Taylor -Smith Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reporq to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date: 11/1/2018-05/31/2021 Date SWU-245, last revised 11/1/2018 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted October 2018 CERTIFICATE OF COVERAGE NO. NCG030009 SAMPLE COLLECTION YEAR 2018 FACILITY NAME _Thomas Built Buses, 715 W Fairfield Road, High Point SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY Guilford/Randolph or ❑ Monthly' (month) PERSON COLLECTING SAMPLES Jeff Gerlock R9 o DISCHARGING TO CLASS ❑ORW ❑HQW [:]Trout❑PNA LABORATORY Pace Lab Cert. # 12 / 37706 r L) ❑Zero -flaw ❑Water Supply []SA Comments on sample collection or analysis: NOV o g 2018 ®Other 111 CENTRAL PILE,, PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 9/26/2018 0.17 8A 7.2 0.006 <0.005 0.0518 <5 NA SWO-2 9/26/2018 0.17 10.9 T1 <0.005 <0.005 0.0457 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11.; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31), Permit Date: 11/1/2012-10/31/2017 SWLI-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title {Print title) (Signature (Date Note. Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format, When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_=> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU OF-1 4/23/2018 0.66 <0.005 38.3 7.07 Not Applicable Footnotes from Part A also apply to this Part B * See Genera! Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier .1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: Corey _Basin eg r/ Anna Taylor -Smith Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attm DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee} Permit Date: 11/1/2012-10/31/2017 1 301zcoK- (Daie) SWU-245, last revised 10/25/2012 Page 3 of 3 May 16, 2018 Ms. Alice Wesselman Thomas Built Buses 1408 Courtesy Road High Point, North Carolina 27260 Subject: Report of Semi -Annual Stormwater Sampling - First Half 2018 Thomas Built Buses 715 West Fairfield Road High Point, Guilford County, North Carolina NCDEQ Certificate of Coverage #NCG030009 Dear Alice: RECE!VW MAY 2 9 2018 CENTRAL FILES DVIR SECTION As authorized, Blue Ridge Geological Services, Inc. (Blue Ridge) assisted Thomas Built Buses (TBB) personnel with the stormwater sampling and reporting event at the subject site. The work was performed in general accordance with the Stormwater Pollution Prevention Plan (SWPPP) and the NPDES Permit for the subject facility. This report summarizes the field activities and laboratory data as well as provides our conclusions and recommendations. Field Aefivities On April 23, 2018 Blue Ridge personnel performed a stormwater sampling event at the site during a measurable storm event. Rainfali data was collected from a nearby weather station. According to the station, 0.66 inches of rainfall was recorded during the storm event. Blue Ridge personnel observed the stormwater discharge at the two stormwater discharge outfalls (designated as SWO-1 and SWO-2). Field personnel completed a stormwater discharge outfall (SDO) qualitative monitoring report form for each of the outfall sampling locations (see attached). A copy of these forms should be placed in the SWPP Plan or a designated file at the facility. The forms should remain on site and do not need to be submitted to the NCDEQ. On April 23, 2018 Slue Ridge personnel collected stormwater samples from outfalls SWO-1 and SWO-2. The samples were placed into laboratory -prepared containers (some with preservatives), labeled with sample information, placed into a cooler containing ice, and transported to Pace Analytical Services, Inc. (Pace) in Huntersville, North Carolina. A completed chain -of -custody form was submitted with the samples. The pH of the samples was measured in the field using an Oakton pH meter and recorded on the SDO forms. The pH of the water samples collected from outfalls SWO-1 and SWO-2 was 7.07 and 6.99 standard units, respectively. 7356 Belmont Drive, Trinity, NC 27370 * Phone 336-382-6849 Report of Semi -Annual Storntwater Sampling— First Half 2018 Thomas Built Buses, Fairfield Road Facility. High Point, 'VC NCDEQ COC 4NCGO30009 Laboralory Results May 2018 Page 2 The samples were analyzed for total suspended solids (TSS) by Method 2540D, oil and grease HEM total petroleum hydrocarbons (TPH) by Method 1664, and total metals (copper, lead, and zinc) by Method 200.7. The TSS detected in samples SWO-1 and SWO-2 was 38.3 and 23.3 milligrams per liter (mg/L), respectively. Oil and grease and total lead were not detected in the samples. Copper was detected in samples SWO-I and SWO-2 at concentrations of 0.0174 and 0.0157 mg/L, respectively. Zinc was detected in samples SWO-1 and SWO-2 at concentrations of 0.134 and 0.148 mg/L, respectively. The results are summarized in the attached table. The outfall sample results were placed on the NCDEQ Stormwater Discharge Monitoring Rep6rt (SDMR) farm (see attached). The laboratory report is attached. Conclusions and Recommendations Our field inspection did not identify any problems 1 issues at the outfalls. Blue Ridge personnel compared the analytical results to the benchmark values established in the Permit. As shown in Table 1, the pH, TSS, oil and grease, and total lead of the samples from Outfalls SWO-1 and SWO-2 did not exceed the benchmark values. However, the concentrations of total copper and total zinc in the samples from Outfall SWO-1 and Outfall SWO-2 exceeded the benchmark values. Since copper and zinc have been detected in the stormwater from outfalls SWO-1 and SWO-2 at concentrations above the benchmark values during two consecutive monitoring periods, Tier Two monitoring (i.e., monthly sampling until three consecutive results are below the benchmark values) is required by the Permit. However, on May 5, 2014 the NCDEQ issued a letter to TBB stating that they do not have to perform monthly monitoring for copper and zinc exceedances. Therefore, monthly monitoring is not required for these outfalls. We recommend that a report (the SDO form signed by company personnel) be submitted to the DWQ office in Raleigh by June 3, 2018. The next semi-annual inspection (qualitative monitoring and stormwater sampling and analysis) should be performed at the facility between July 1 and December 31, 2018. We appreciate the opportunity to continue to assist you on this project. Please contact the undersigned if you have any questions regarding this report or the project. Sincerely, Jeffrey L. Gerlock, L.G. NC Licensed Geologist 41 141 Attachments — SDO Forms, Table, SDMR Form, Lab Report 7356 Belmont Drive, Trinity, NC 27370 * Phone 336-382-6849 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) 1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2017 Individual NPDES Permit No. NCSUUUUUU or Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑ 030009 This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: Thomas Built Buses, 715 W Fairfield Road, High Point, NC County: Guilford / Randolph Phone Number: 336 881-6025 Total no. of SDOs monitored 2 Outfall No. SWQ-1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ® No ❑ Parameter, (units) Non -Polar Total Total pH, b&G/ Total Rainfall, Suspended Standard units Copper Lead Zinc Petroleum incites Solids Hydrocarbons Benchmark N/A 100 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L Date Sample Collected, mmlddlyy 4/19/17 0.08 140 5.9 <0.005 <0.005 <0.010 <5 10/16/17 0.14 33.6 7.11 0.0072 <0.005 0.0805 <5 SWU-264 - Generic Annual DMR Last revised 511712013 Additional Outfall Attachment Outfall No. SWO-2 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Parameter, (units) Non -Polar Total Total Rainfall, Suspended pH, Copper Lead Zinc O&G/ Total inches Solids Standard units Petroleum Hydrocarbons . Benchmark N/A 100 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L Date Sample Collected, v.�''x"a; Y A{M• iA q - is. ,s.:4T r t- .M': ;i'^1L `1R' �"•i -_ i "X. .3"-C °°7 f :.ZA:'ro Y V' �• mmiddlyy y 4/19117 0.08 85.7 5.9 <0.005 <0.005 <0.010 <5 10/16/17 0.14 36 6.92 0.0082 <0.005 0.120 <5 SWU-264 - Generic Annual DMR Last revised 5/17/2013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 2018__ CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, 715 W Fairfield Road. Hieh Point COUNTY Guilford/Randolph... PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD M Jan -June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/O 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 4/23/2018 0.66 38.3 7.07 0.0174 <0.005 0.134 <5 NA SWO-2 4/23/2018 0.66 23.3 6.99 0.0157 <0.005 0.148 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to.the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) U« re_4QJ Title (Print title) 5-1W Zzx Y (Signature) (Da(e) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU OF-1 4/23/2018 0.66 <0.005 38.3 7.07 Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SM-245, last revised 10/25/201Z Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTIONS. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: Corey Basinger Anna Taylor -Smith Mail an original and one copV of this DMR including all "No Discharge" reports, within 30 days ot receipt of the lab results or at end of monitoring eriod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." c of Permittee} Permit Date: 11/1/2012-10/31/2017 sle hi S {Date} SWU-245, last revised 10/25/2012 Page 3 of 3 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Sign Date For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHEVIL.LE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 910) 433-3300 RALEIGH REGIONAL OFFICE WASHING`I'ON_REGIONAL _OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6491 (910) 796-7215 WINS_TON-SALCM.RI;GIONAL OFFICE CENTRAL OFFICE 1617 Mail Service Center t "'Topreseive,�protec" 585 Waughtown Street Winston-Salem, NC 27107 Raleigh, NC 27699-161.7 anderihanc�;t 336) 771-5000 919) 807-6300 'Norfli 'Cero7fi�a s Tva�er.� _ SWU-264 - Generic Annual DMR Last revised 5/17/2013 2 iA PI6MA Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forgufdance on/fllfng out thisfarm, plr vWL: hnp•llnnnnl.nedenrorg,(we r>rfnndr.:ALUtmnrmnmar.• PermitNo.: orCertlfloteofCoverageNo.: j<ZUU013101010191 FacllltyName: TbomasBuIItBuses-Palrf:PId RoadpacilftT County: Guilford 1 Ralldo.1ph, ,jlnnefl?. 33(t• 8�} 1-6025 Inspector, f� 4: ,`. Date of Inspection: ZAb! 11 Time of Inspection: Total Event Precipitation (Inches): Was this a'Representative Storm Event' or'Measureable Storm Even[' as denned by the permit? (See Information below,) dYes ❑ No Please verify whether Qualitative Monitoring must beperformed ifuringa representative storm event'ar'measureabfe storm even t'(mqu fremep is vary, depending on the permftJ Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a'representative storm event' or during a'measureable storm event' However, some permits do not have thlsrequiremcnL Please refer to these dennitlons,ifapplicable. I ( A -representative storm event Is a storm event that measures greater than 0.1 Inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than , 0.1 Inches has occurred A sEnglo storm event may contain up to 10 consecutive hours of no I precipitation. A'anatuarable storm event" is a storm event that results In an actual discharge from the permitted site oudall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm Interval does not apply If the permittee Is able to document that a shorter' Interval is representative for local storm events during the sampling period, and the permlttee I I obtains approval from the local DWQ Regional Office. _ 1 By this signature, icerdry that tick m :rt Is agvraty and complete to the best of my knowledge: (Signature of Pc DesEgttee) Page t or 2 SWe-Nl locim dlred 1e/25r2012 r 1. Outfall Description: Outfali No. SWO-1 _ Structure (pipe, ditch, etc.) Pitchlcmek Receiving Stream: Muddy Creek Describe the industrial activities that occur within the outfall drainage area: Bus manufarturine. painting, maintenance -parking_ 2. Color. Describe the colorof the dischargeysIn sic mlors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors: A S/� S - L 1� 3. Odor. Describe any distinct odors that the discharge may have q.e, smells strongly of oil, weak chlorine odor, etc.): � 4 ^1" 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy. � , 1 f Z i 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 Is the surface md vered with floating soD_ s: 1 C2; 3 4 5 6. Suspended Solids: Choose the lnumber which best describes the amountofsuspended solids in the storrowater discharge, where is no solids and 5 is extremely muddy: 1 f2 / 3 4 5 7. Is there any foam In the stormwatteerrdischarge? Yes (N. I 8. Is there an oil sheen In the stormwater discharge? Yes f Na 9. Is there evidence of erosion or deposition at th a outfall? Yes f No j 10. Other Obvious Indicators ofStormwater Pollution: Ustanddescribe,. �•-�! Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may beindlcativeofpallutante:posure. These conditions warrant farther Investigation. SWU-242.1ar1awd16N 10/259012 Paget of 2 A74 Stormwater Discharge Outfall (00) Qualitative Monitoring Report Forgvldeme on fifling out thk form, pimse vfslc hitR:t Permit No,: �i./�/J_/..../_/�� orCertifcateofCoverageNo: N /"/ 0/3101010191 Facility Name: T(gmli$ullt_huses-FalrtleldRoad Fadh:y County. Quffard I R2ndnlnb No. ,?3f;&A 1 -ho7q inspector. C r• - Date of Inspection: Timeoflnspectlon: Total Event Precipitation (Inches): _(/ 4 4 Was this a'Representadve Storm Event" or "Measureable Storm Event" as defined by the permit? (See Information below.) 0 Yes ❑ No Pieria verffy whether Qualltadve Monitoring must be performed during a "representative storm ewnt,or'measureabfe stann event"(raqufrvnents voiy, depending on the perraft). Qualitative monitoring requirements vary. Mostpermits require qualhadve monitoring to be performed during a "representative storm event' or during a'measureabie storm event' However, some permits do not have this requirement. please refer to these deftnitio", Ifapplicable. A 'representative storm event' Is a storm event that measures greaterthan 0.1 Inches of rainfall and that is preceded by at least 72 hours (3 days) In which no storm event measuring greater than 0.1 Inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. ? A "measurable storm "Clit is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours j prior. The72-hourstormIntervaldoesnotapplyIfthepermltteeisabletodocumentthatashorter j Interval is representative for local storm events during the sampling period and the permittee obtains a proval tram the local DWQ Regional 0f0cn By this slgnatur 1 certlfv thattltl report accurate and complete to the best of my knowledge: L� lf .l.� (Signature. .,Designee) t" Page 3 of 2 SWU-242,La,ad;s 10/25/2012 �2 /.y- G, �i 1. Outfall Description: Outfall No. SWO-2 _ Structure (pipe, ditch, etc) Culvert Receiving Stream: Muddy Creek _ Describe the Industrial activities that occur within the outfall drainage area: _Bus m,7nuf2mring,paint,ypdeenatin$, wagestorr ar 2. Colon Describe the color of the discharge us)ng sec colors (red, brown, blue, etc.) and tint eight, medium, dark) as descriptors: 3. Odor. Describe any distinct odors that the discharge may have [Le., smells strongly a fall, weak chlorine odor, etc.): 4. Clarity Goose the number which best describes the clarity of the discharge, where 1 is dear and 5 Is very cloudy: 1 2/ 3 4 5 S. Rooting Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 11iis }no solids and 5 is the surface covered with floating solids: / rl 1 2 3 4 S b Suspeaded5olids- Choose the number which best describes the amount ofsuspended solids In the stormwater discharge, where 1 is no solids and 5 is extremely muddy: t. 1 2 3 4 S J^ 7. is there any faare In the stormwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes No 1 9. Is there evidence of eroslonor depositlon atthe outfalt? Yes No 10. Other Obvious indicatorsofSta waterFountlon: List and describe �� f%Z. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be Indicative of pollutant exposure. These conditions warrant further investigatlau. 3vnt-24z, Ise —&R d torzsrmtz Page 4 of 2 November 2017 ECEIVED NOV 14 201/ Central Files CENTRAL FILES NCDEQ DWR SECTION Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: Report of Stormwater Sampling — Second Half 2017 Semi -Annual Thomas Built Buses 715 West Fairfield Road High Point, Guilford County, North Carolina NPDES Certificate of Coverage No.'NCG030009 Ladies/Gentlemen: Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal, please contact the undersigned at 336-382-6849. Sincerely, Jeff Gerlock, L.G. NC Licensed Geologist #1 141 Attachments — SW Discharge Monitoring Report Form Cc: Thomas Built Buses, Alice Wesselman 7356 Belmont Drive, Trinity, NC 27370 - Phone/Fax: 336-313-6131 ' Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 2017 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, 715 W Fairfield Road, High Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. ## 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?z Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks ==-> - - 100 mg/L or SO mg/L4 6.0 -- 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 10/16/2017 0,14 33.6 7.11 0.0072 <0.005 0.0805 <5 NA SWO-2 10/16/2017 0.14 36 6.92 0.0082 <0.005 0.120 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics MO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) k) P r� Title (Print itle) �_ �7! (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_-> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK FXCEFDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SEC70N B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Corey,Basin er Aana Taylor -Smith Mail an original and one cop of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 11/1/2012-10/31/2017 iI 7 Z0t7 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Division of Energy, Mineral, and Land Resources Land Quality Section / Stormwater Program i; National Pollutant Discharge Elimination System (NPDES) Energy. Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM Land Resources ENVIRONMENTAL QUALITY (Individual Legally Responsible for Permit) Use this form if there has been: FOR AGENCY USE ONLY Date Received Ycar Month I Day NO CHANGE in facility ownership or facility name, but the individual who is legally responsible for the permit has changed. If the name of the facility has changed, or if the ownership of the facility has changed, do NOT use this form. Instead, you must fill out a Name -Ownership Change Form and submit the completed form with all required documentation. What does "legally responsible individual" mean? IR The person is either: MAY 31 201 . • the responsible corporate officer (for a corporation); • the principle executive officer or ranking elected official (for a municipality, stq UZf90WAVTq agency); 401 & BUFFER P RMITi • the general partner or proprietor (for a partnership or sole proprietorship); • or. the duly authorized representative of one of the above. 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation") applies: Individual Permit N I C I S 2) Facility Information: Facility name: Company/Owner Organization: Facility address: (01) Certificate of Coverage N I C I G 1 0 3 0 0 0 9 TBB Fairfield site Thomas Built Buses, Inc. 715 W Fairfield Rd Address High Point NC 27263 City State Zip To find the current legally responsible person associated with your permit, go to this website: http://deg.nc.gov/about/divi s ion s/energy-m inera. l- land-resources/energy-in ineral-land-permits/stormwater-program and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: First MI Last 4) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit: Christopher C Russell First Ml Last Page 1 of 2 5W U-OWNERAFFIL-23March2017 NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) 5), Reason for.this,change: i it N. f _' -, j _-,1 l . ? A're"salt of: r . ;r t'1',T rIr: If other please explain: Vice President Operations Title P.O. Box 2450 Mailing Address High Point NC 27260 City State _ Zip 336-889-4871 Christoper.C.RusselI@daimler.com Telephone E-mail Address (336) 889-2589 Fax Number ® Employee or management change ❑ Inappropriate or incorrect designation before ❑ Other The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION 1, i_,'11 V 1 S c { SS 1' attest that this application for this change in Owner Affiliation (person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this form are not completed, this change may not be processed. Signature 5 Zz Zol7 Date PLEASE SEND THE COMPLETED FORM TO: Division of Energy, Mineral, and Land Resources Stormwater Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 For more information or staff contacts, please call (919) 707-9220 or visit the website at: htt :/p /deq.nc.�zov/about/divisions/energy-mineral-land-resources/stormwater Page 2 of 2 SM-OWNERAFFI L-23Mar2017 F May 2017 Central Files NCDEQ MAY 3 0 2UT7 Division of Water Quality 1617 Mail Service Center CENTRAL FILES Raleigh, North Carolina 27699-1617 WR SEC7-10N Subject: Report of Stormwater Sampling — First Half 2017 Semi -Annual Thomas Built Buses 715 West Fairfield Road High Point, Cuilford County, North Carolina NPDES Certificate of Coverage No. NCG030009 Ladies/Cenflemen: Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal. please contact the undersigned at 336-382-6849. Sincerely, ICJ Jeff Gerlock, L.G. NC Licensed Geologist 41 141 Attachments — SW Discharge Monitoring Report Form Cc: Thomas Built Buses, Alice Wesselman yy� CZ s-wr m w 7356 Belmont Drive, Trinity, NC 27370 - Phone/Fax: 336-313-6131 is Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 2017 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, 715 W Fairfield Road. Hieh Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock� LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �2017 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month' DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA []zero -flow []Water Supply ❑SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks =__> - - 100 mg/L or 50 mg10 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 4/19/2017 0.08 140 5.9 <0.005 <0.005 <0.010 <5 NA SWO-2 4/19/2017 0.08 85.7 5.9 <0.005 <0.005 <0.010 <5 NA I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management ptan included in the Stormwater Pollution Prevention Plan." C4rls- Cl Asse U Name (Print name) Title (Print title) � zdl (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. rA FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B, + 2 EXCEFDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEFDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO REGIONAL OFFICE CONTACT NAME: Corey Basinger / Aana Taylor -Smith Mail an od inal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." S L&17 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted December 2016 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, 715 W Fairfield Road, Hieh Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) RECEb'1fE-H:9GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA BAN ���� ❑Zero -flow ❑Water Supply ❑SA ®Other III CENTRAL, FILES 0VVR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =__> - - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 11/29/2016 0.3 74.0 6.5 0.0155 0,0086 0.174 <5 NA SWO-2 11/29/2016 0.3 51.3 6.5 0.0134 <0.005 0.216 <5 NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance forth sa e.p�ram �tr a e dyne outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a check ark: e. F 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CPR 433.11; for semiconductor manufacture use the definition as found in 40 CPR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CPR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART lI SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION 8. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Corey Basinger Aana Taylor -Smith Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date:11/1/2012-10/31/2017 Z3 i (D te) SWU-245, last revised 10/25/2012 Page 3 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For.I::Ose facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) nature) (Da e) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical' format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 - Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 2015 CERTIFICATE OF COVERAGE NO. NCG030009 SAMPLE COLLECTION YEAR _2015 FACILITY NAME Thomas Built Buses, Fairfield Road, Hiph Point SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY Guilford/Randolph or []monthly' (month) PERSON COLLECTING SAMPLES Jeff Geriock DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY Pace Lab Cert. # _ 12 / 37706 ❑Zero -flow ❑Water Supply [:]SAComments on sample collection or analysis: RECEIVED ®Other Ill Part A: Stormwater Benchmarks and Monitoring Results NOV 2 3 Z615 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES QWR SECTION ❑ No discharge this period?2 �v outfali No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organics-5 Benchmarks =__> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 10/27/2015 1.03 66.3 6.4 0.0137 0.0082 0.169 <5 NA SWO-2 10/27/2015 1.03 89.8 6.8 0.0174 <0.005 0.294 <5 NA 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfali. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc, in mg/L. Note; if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 dutfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ==_> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 . Note:.lf you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEE DANCE TRIGGERSTIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION S. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO REGIONAL OFFICE CONTACT NAME: Corey Ras'n er Aana Taylor -Smith Mail an original and one copy of this DMR, including all "No Discharge" reports within 30_days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality ALM. DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 N ovember 2015 Central Files NCDEQ Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: Report of Storm -water Sampling— Second Semi -Annual 2015 Thomas Built Buses 7tS West Fairfield Road High Point, Guilford County, North Carolina NPDES Certificate of Coverage No. NCG030009 Ladies/Gentlelnen: 'F CF j Y F_1) Nov 2 3 -julb FN -TL FILES SECTION D\N Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal, please contact the undersigned at 336-431-5454. Sincerely, Jeff Gerlock, L.G. NC Licensed Geologist #1 141 Attachments — SW Discharge Monitoring Report Form Cc: Thomas Suilt Buses, Alice Wcsselman 306 Eden Terrace, Suite C, Archdale, NC 27263 - Phone/Fax: 336-431-5454 RECEIVED N.C. Dept. of ENR I:, April 27, 2015 Attn: Central Files DENR, Division of Water Quality Water Protection 1617 Mail Service Center Raleigh, NC 27399-1617 Dear Sirs; MAY 0 4 2015 Winston-Salem Regional Office Alice Wesselman Environmental Manager Thomas Built Buses, Inc. PO Box 2450 (27261) 1408 Courtesy Road fligh Point, NC 27260 336-881-6025 Phone 336-889-2589 Fax Subject: 2015 NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County:(NCG30009 at 1408 Courtesy Rd and NCG30010 at 715 Fairfield Rd). Enclosed are the storm water discharge monitoring reports for our Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) complexes. Please find the first semi-annual analytical data for 2015 performed on March 19, 2015. On March 19`I1, the Courtesy Rd facility ( NCG30009) continued to detect total copper and total zinc above benchmark levels at outfalls SWO-04, SWO-5, SWO-5B, SWO-6 and SWO-7. Copper and zinc were at elevated levels at C-1. There were no benchmark levels exceeded at the remaining two outfalls SWO-03 and SWO-08. This site's Tier Two monthly monitoring was change in the May 5, 2014 NCDENR inspection. to semi-annual monitoring and continue inspection and BN P improvements as discussed for permit compliance. The Fairfield facility (NCG30010) was qualitative inspective and stormwater analysis on March 19"' as well. The site exceeded benchmark levels for total Cu and total Zn during the March semi-annual sampling. These outfalls were below benchmark values for pH, TSS, Oil and Grease and tPH. Thomas Built Buses reviews the data and site activities to continually improve the best management practices that affect these benchmarks but has not identified specific root cause. The site required Tier Two monthly monitoring was change in the May 5, 2014 NCDENR inspection to semi-annual monitoring and continue inspection and bmp improvements as discussed for permit compliance. Please contact me if you have any question regarding this data or any other item Sincerely; Environmental Manager Alice.,,vesselruan a daitnle.r.eom Copy: WSRO/DLQ Scientest, Aana Taylor -Smith, Jeff Gerlock, Blue Ridge Geological Services, Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) facilities for March (semi-annual) 2015. Thomas Built Buses, Inc, is a subsidiary of Daimler Trucks North America LLG, a Daimler company. April 2015 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: Report of Stormwater Sampling — First Semi -Annual 2015 Thomas Built Buses 1408 Courtesy Road High Point, Guilford County, North Carolina NPDES Certificate of Coverage #NCG030010 Ladies/Gentlemen: Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal, please contact the undersigned at 336-431-5454. Sincerely, ?Jerlock L.G. NC Licensed Geologist 91141 Attachments-- SW Discharge Monitoring Report Form Cc: Thomas Built Buses, Alice Wesselman 306 Eden Terrace, Suite C, Archdale, NC 27263 - Phone/Fax: 336-431-5454 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 2015 CERTIFICATE OF COVERAGE NO. NCG030010 FACILITY NAME __ Thomas Built Buses, Courtesy Road, High Point COUNTY Guilford PERSON COLLECTING SAMPLES JeffGerlock LABORATORY Pace Lab Cert. # _12 / 37706_ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly) (month] DISCHARGING TO CLASS ❑ORW ❑HQW [I]Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other-C (Payne Cr); WS-IV (Richland) PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?Z Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L i mg/L SWO-3 3/19/2015 0.42 4.9 6.4 <0.005 <0.005 0.064 <5 NA SWO-4 3/19/2015 0.42 37 7.0 0.017 0.0055 0.704 <5 NA SWO-5 3/19/2015 0.42 45.2 7.3 0.0148 0.0196 0.164 <5 NA SWO-513 3/19/2015 0.42 NA NA 0.0079 <0.005 0.134 NA NA SWO-6 3/19/2015 0.42 51.7 6.8 0.011 0.0114 0.154 <5 NA SWO-7 3/19/2015 0.42 30.5 6.4 0.0134 0.0092 0.226 <5 INA 5WO-8 3/19/2015 0.42 11.2 6.8 0.0051 <0.005 0.0547 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Naa�m�ee (Print name) � f� J Ci � tf (ic? )''1 YN L'_.i/l,{�\� �[°✓Yl C+�2�.. Title (Print title) (Signature) 4 2L7-15 (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m_gIL where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. — Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES M A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Corey Basinger / Aana Taylor -Smith Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 `f zz (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 April 2015 Central Files NCDENR Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: Report of Stormwater Sampling — First Semi -Annual 2015 Thomas Built Buses 715 West Fairfield Road High Point, Guilford County, North Carolina NPDES Certificate of Coverage No. NCG030009 Ladies/Gentlemen: Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal, please contact the undersigned at 336-431-5454. Sincerely, ✓'cat. w__ Jeferl L.G. NC Licensed Geologist 41141 Attachments — SW Discharge Monitoring Report Form Cc: Thomas Built Buses, Alice Wesselman 306 Eden Terrace, Suite C, Archdale, NC 27263 - Phone/Fax: 336-431-5454 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 2015 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Fairfield Road, High Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: T Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑monthly' , (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids p H, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks ==_> - - 100 mg/L or 50 mg/1. 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 1S mg/L 1 mg/L SWO-1 3/19/2015 0.57 21.6 6.4 0.0073 <0.005 0.0893 <5 NA SWO-2 3/19/2015 0.57 22.2 6.5 0.0071 <0.005 0.105 <5 NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) r U (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L" 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Corey_ Basinger ( Aana Tavlor-Smith Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 RECEIVED DEC 16 2014 CENTRAL FILES DWR SECTION November 2014 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: Report of Stormwater Sampling — Second Semi -Annual 2014 Thomas Built Buses 715 West Fairfield Road High Point, Guilford County, North Carolina NPDES General Permit No. NCG030009 Ladies/Gentlemen: Attached is a stormwater sampling report for the subject facility. If you have any questions regarding this submittal, please contact the undersigned at 336-431-5454. Sincerely, Jeff Gerlock, L.G. NC Licensed Geologist 91141 Attachments — SW Discharge Monitoring Report Form Cc: Thomas Built Buses, Alice Wesselman 306 Eden Terrace, Suite C, Archdale, NC 27263 - Phone/Fax: 336-431-5454 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Nov 2014 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Fairfield Road, Hiph Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA []zero -flow [:]Watersupply ❑SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Out#all No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 11/6/2014 0.21 67 5.8 0.0057 <0.005 0.165 <5 NA SWO-2 11/6/2014 0.21 35.5 5.7 0.0092 0.0062 0.169 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." � " 4.e Ale 4 5 e4 In R.st Name (Print name) �r 6 �V pmvt "O- Title (Print title) (Signature) i Z- S • J q- (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfal! No. Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 - 9.0 SU Not Applicable Footnotes from Part A also apply to this Part IS * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Corey_ Basinger/ Aana Taylor -Smith Mail an original and one copy of this DAM including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of / 2 —,V is (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Nov 2014 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Fairfield Road, Hieh Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # 12 / 37706 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout []RNA []zero -flow []Water Supply []SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units I Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 11/6/2014 0.21 67 5.8 0.0057 <0.005 0.165 <5 NA SWO-2 11/6/2014 0.21 35.5 5.7 0.0092 0.0062 0.169 <5 NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. S Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the Genera! Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." kt 4 W Q 4�2� Itie �-ra Name (Print name) ��yc Zvi � �rPe►;vr�r� Title (Print title) 1 Z- iY I c (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mgf L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month. ❑ No discharge this period?2 Outfal! No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L' 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: Corey Basinger I Aana Taylor -Smith Moil an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �, l (Signature of Permittee) AG l—/ (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge_ Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted June 2014 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Fairfield Road, High Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. # _12 / 37706_ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply ❑SA ®Other III JUN 112014 CENTRAL FILESPLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 DWQIBOG No discharge this period: Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 5/27/2014 OAS 78 6.2 0.0093 0.0067 0.121 <5 NA SWO-2 5/27/2014 0.15 36.7 6.1 0.0067 <0.005 0.135 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." Name (Print name) �%LGE P(Le k%L,eNC>pa-a-TlGt,. S Title (Print title) 6 - 7-- 1y (Signature (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART li SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: _Corey Basinger / Aana Taylor -Smith Mail an original and one copy of this DMR, including oil "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 42 - 7--,- S� (Signature of/f$rrnittee) `" U jDate) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 2014 CERTIFICATE OF COVERAGE NO. NCG030009 SAMPLE COLLECTION YEAR _2014 FACILITY NAME Thomas Built Buses, Fairfield Road, High Point, SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Guilford Randol h or ® Monthly'_ _ April 2014 (month) PERSON COLLECTING SAMPLES _Jeff Gerlock DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace Lab Cert. # 12 / 37706^ RECEIVE® ❑Zero -flow ❑Water supply [:]SA Comments on sample collection or analysis: ®Other Ili Part A: Stormwater Benchmarks and Monitoring Results JUN 11 Z014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL ALES DWQIBOG ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar C&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks - - 100 mg/L or 50 mg/L 6.o — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L swo-1 4/25/2014 0.21 <5 7.3 <0.005 <0.005 0.0118 <5 NA SWO-2 4/25/2014 0.21 33 6.8 0.0079 <0.005 0.0666 <5 NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TfO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." LAi�Y dge�g, Name (Print name) \1l cG C_ r, iQpe-"riot N:s T Title (Print title) &,�L - - 1e-7-/'K- (Signature) a (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (SGT-HEM] Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: _Corey Basinger / Aana Taylor -Smith Mail an original and one cop ot this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results or at end of monitorin_q period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Per " tee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 • Alice Wesselman Lm,ironrnental Manager June 9, 2014 Thomas Built Buses, Inc. PO Box 2450 (2726 1) 1403 Courtesy (toad Attll: Central Files High Point, NC 27260 DENR, Division of "dater Quality 336-881-6025 Prone Water Protection 336-889-2589 Fax 1617 Mail Service Center Raleigh, NC 27399-1617 Dear Sirs: Subject: 2014 NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County:(NCG30009 at 1408 Courtesy Rd and NCG30010 at 715 Fairfield Rd). Enclosed are the storm water discharge monitoring reports for our Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) complexes. Please find the April and May semi-annual analytical data. There will be no .June analytical as we go back to semi- annual sampling per discussion with Aana Taylor -Smith in our Tier Ill meeting on May 2°d In April and May the Courtesy Rd facility ( NCG30009) continued to fail tine at 4 of 6 outfalls and copper at Outfall 04 and pl-I at a trail outfall 5D. The Fairfield facility (NCG30010) was within all parameters in April and failed Cu and Zn during the May semi-annual sampling. Thomas Built Buses reviews the data and site activities to continually improve the best management practices that affect these benchmarks but has not identified specific root cause. The two sites SPPP plans are in final review. Please contact me if you have any question regarding this data orally other item Sincerely, Mum Alice Wesselman Environmental Manager A lice. \NlesselmatiDDaimler.com Copy: WSRO/DLQ Scientest, Aana '1-aylor-Smith Jeff Gerlock, Blue Ridge Geological Services, consultant. Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) facilities for April and May (semi-annual) 2014. Thomas Built Buses, Inc. is a subsidiary of Daimler Trucks Norih America LLC, a Daimler company. ■BIL' lI 1216T"' `BIUes-EASi1 June 9, 2014 Attn: Central Files DENR, Division of Water Quality Water Protection 1617 Mail Scrvice Centcr Raleigh, NC 27399-1617 Dear Sirs; RECEIVED N.C. Dept of ENR JUN 10 2014 R cla e L OFFICE ..e Alice Wesselman Environmental Manager Thomas Built Buses, Inc. PO Box 2450 (27261) 1408 Courtesy Road High Point, NC 27260 336-881-6025 Plione 336.889-2589 Fax Subject: 2014 NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County:(NCG30009 at 1408 Courtesy Rd and NCG30010 at 715 Fairfield Rd). Enclosed are the storm water discharge monitoring reports for our Courtesy Rd (general permit 9NCG30009) and Fairfield Rd (general permit #NCG30010) complexes. Please find the April and May semi-annual analytical data. There will be no .Tune analytical as we go back to semi- annual sampling per discussion Nvith Aana Taylor -Smith in our Tier III meeting on May 2nd In April and May the Courtesy Rd facility ( NCG30009) continued to fail zinc at 4 of 6 outfalls and copper at Otttfall 04 and pH at a trail outfall 5D. The Fairfield facility (NCG30010) was within all parameters in April and failed Cu and Zn during the May sclni-annual sampling. Thomas Built Buses reviews the data and site activities to continually improve the best managefnent practices that affect these benchmarks but has not identified specific root cause. The two sites SPIT plans are in final review. Please contact me if you have any question regarding this data or any other item Sincerely, ri�7J y'r-A Alice Wesselman Environmental Manager Alicc.\`(resselmanQcDairnler. corn Copy: WSROIDLQ Scientest, Aana Taylor -Smith Jeff Gerlock, Blue Ridge Geological Services, consultant. Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit 4NCG30009) and Fairfield Rd (general permit #NCG30010) facilities for April and May (semi-annual) 2014. Thomas Built Buses, Inc. is a subsidiary of Daimler Trucks North America LLC, a Daimler company. b c�C�P 0 C�7'.N r RECEIVED I N.C. Dept. of ENR Semi-annual Stormwater Discharge Monitoring Report JUN 1.0 2014 for North Carolina Division of Water Quality General Permit No. NCG030000 wlNSTCN-sALEtsn Date submitted June 2014 REGIONAL OF'FICE CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME _Thomas Built Buses, Fairfield Road, High Point COUNTY Guilford/Randolph PERSON COLLECTING SAMPLES _ Jeff Gerlock LABORATORY Pace Lab Cert. # _12 / 37706_ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other 111 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non-Polar O&G/haur Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks =__> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 5/27/2014 0.15 78 6.2 0.0093 0.0067 0.121 <5 NA SWO-2 5/27/2014 0.15 36.7 6.1 0.0067 <0.005 0.135 <5 NA Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. A See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for'electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater.PoIIution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan," Name (Print name) U4CC PXe-,tbIz,,— c Gy{ �2i�i� vls Title (Print title) (Signature 61 (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?Z Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar 0&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the .benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: _Corey Basinger / Aana Taylor -Smith Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Dischar e" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and ali attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,,accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of/f',hrmittee) 42 -7—r i� (Date) Permit Hate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 2014 CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Fairfield Road, High Point, COUNTY _Guilford/Randolph PERSON COLLECTING SAMPLES Jeff Gerlock LABORATORY Pace Lab Cert. #I _12 / 37706_ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' April 2014 (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other III PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfali No. Date Sample Collected' lmo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =_=> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SWO-1 4/25/2014 0.21 <5 7.3 <0.005 <0.005 0.0118 <5 NA SWO-2 4/25/2014 0.21 33 6.8 0.0079 <0.005 0.0666 <5 NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible forma naging compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." (_A LJF- Y t�A Name (Print name) T Title (Print title) -7-/'14 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m_ g/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. pate Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Not Applicable Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: * A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: _Corey Basinger / Aana Taylor -Smith Mail an art ina! and one copy oLthls DMR,_including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" rmorts) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." cl�- 7--/r (Signature of Per ' tee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Inc. - FairField Complex COUNTY Guilford PERSON COLLECTING SAMPLES Alice Wesselman LABORATORYR & A Lab Cert. # 34 Comments on sample collection or analysis: 3.1C Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June 0 July -Dec or ® Monthly'- March (month} DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA ❑Zero -flow ❑Water Supply []SA RCI: jV ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 APB 0 3 2014 CENTRAL FILE5 DWQ/�n� ❑ No discharge this period?Z Outfall No. Date Sample CollectedI (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =_-> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L SW01 3/3/2014 .18 30 mg/I 6.2 <.005 mg/I <.005mg/I .081 mg/I <5.0 mg/I N/A SW02 3/3/2014 .18 4348 mg/I 6.05 <.005 mg/I <.005 mg/I .068 mg/I <5.0 mg/I N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L", where XX is the numerical value'of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. (NONE= N/A) ❑ No dischorge this period:2 Outfall-No. Date Sample Collected' (mo/dd/y�) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664-(SGT-HEM) Total Suspended Solids pH 'Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 4� Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: e A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. DONE • 2 EXCEEDANC£S IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART li SECTION B. DONE • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [�[NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy_ of this DMR, including all "No Discharge" reports, within 30 days of receipt of the tab results (or at end of monitoring period in the case o, f "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Alice Wesselman Environmental Manager March 31, 2014 Thomas .Built Buses, Inc. PO Box 2450 (27261) 1408 Courtesy Road Attn: Central Files High Point, NC 27260 DENR, Division of NA'ater Quality 336-881-6025 Phone Water Protection 336-889-2589 Fax 1617 Mail Service Center Raleigh, NC 27399-1617 Dear Sirs; Subject: Tier III notice and 2014- February and March monthly NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County . Enclosed are the storm water discharge monitoring reports for our Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) complexes as required by NPDES storm water pen -nits. The samples were pulled on February 23, 2014 and March 3; 2014. The samples were collected in lab prepared and preserved bottles and stored on iced when taken to R&A labs (NC cert.#34). The samples wvere analyzed for the new metals Cu, Zn, Pb, pH, TPH, and TSS. The analysis is summarized on two sets of attached forms SI U-245. On January 17, 2014, Ms. Sandra Carter of DTNA met with DWR officials to discuss storm water issues and develop a response to mitigate ongoing storm water issues for all North Carolina Daimler Trucks N.A. manufacturing sites. Daimler remains committed to meeting the intent of our facility pen -nits and the protecting surface water bodies of this state. NVe look forward to continuing to work with the DWR in maintaining appropriate standards to reach these goals. A Tier III response has being prepared and implemented for Zinc and Copper for NCG030010 at outfalls SD004, SDO05 & SDO06 as indicated by the results for February. In March, Tier III was triggered for SDO02 for NCG030009. Thomas Buses has been sampling the storm water at various outfalls at each facility in general accordance with the NPDES permit. Zinc and/or zinc and copper have been detected in three of the outfalls at concentrations above the benchmark values in the permit on four occasions at the Courtesy Rd facility (NCG030010) and for zinc at the Fairfield Rd Facility (NCG030009). Thomas Buses has instituted tier I and tier 2 actions in the area of these outfalls including monthly monitoring and sampling, inspections, source and operational controls and physical improvements to reduce the concentrations of these constituents in the storril water. We are also inspecting and sampling other areas around and up gradient of these outfalls to determine other possible sources of these metals in the storm water. Please contact me if you have any question regarding this data or any other item Thomas Built Buses, Inc. is a sunsidiary of Daimler Trucks North Amen a' -LC, a Daimler company. Sincerely, Alice 11Iesselman Environmental Manager Ahce.\Vesselman@,Daimler.com Copy: WSRO/DWQ Supervisor, Corey Basinger Jeff Gerlock, Blue Ridge Geological Services, consultant. Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit ANCG30009) and Fairfield Rd (general permit 9NCG30010) facilities for January and February 2014_ _.�.. a► i Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted March 25, 2014 CERTIFICATE OF COVERAGE No., NCG030009 FACILITY NAME Thomas Built Buses Inc. - _FairField Comdex COUNTY Guilford PERSON COLLECTING SAMPLES Alice Wesselman LABORATORYR & A Lab Cert. # 34 Comments on sample collection or analysis: 3.1C Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' February month DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA RECEIVED []zero -flow ❑Water Supply ❑SA Other APR 0 3 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWG/8GG ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks =_=> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 2/21/2014 .021 28 mg/I 6.7 <.005 mg/1 <.005mg/I .044 mg/I <5.0 mg/I N/A 2/21/2014 .021 48 mg/I 6.6 <.005 mg/I <.005 mg/I .035 mg/I <.5.0 mg/I N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge.monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. when results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! eP `rmit text. �. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per mol th. (NONE= N/A) ❑ No discharge this period Outfall-No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 4.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. DONE • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. DONE • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR7HE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO R REGIONAL OFFICE CONTACT NAME: Mail an original and one copV of this DMR including all "No Discharge" reports, within 30 da s of receipt ot the lab results Lor at end of monitoring period in the case o "No Dischar e" re orts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature sS'cf L I4 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 r - Alice Wesselman Environmental Manager March 31, 2014 Thomas Built Buses, Inc. PO Box 2450 (27261) 1408 Courtesy Road Attn: Central Files Hi;h Point, NC 27260 DENR, Division of Water Quality 336-881-6025 Phone Water Protection 336-889-2589 Fax 1617 Mail Service Center Raleigh, NC 27399-1617 Dear Sirs; Subject: Tier III notice and 2014- February and March monthly NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County . Enclosed are the storm water discharge mon itoring reports for our Courtesy Rd (general permit 4NCG30009) and Fairfield Rd (general permit #NCG30010) complexes as required by NPDES storm water permits. The samples were pulled on February 23, 2014 and March 3, 2014. The samples were collected in lab prepared and preserved bottles and stored on iced when taken to R&A labs (NC cert.434). The samples were analyzed for the new metals Cu, Zn, Pb, pH, TPH, and TSS. The analysis is summarized on two sets of attached forms SWU-245. On January 17, 2014, Ms. Sandra Carter of DTNA met with DWR officials to discuss storm water issues and develop a response to mitigate ongoing storm water issues for all North Carolina Daimler Trucks N.A. manufacturing sites. Daimler remains committed to meeting the intent of our facility permits and the protecting surface water bodies of this state. 'Ale look forward to continuing to work with the DNVR in maintaining appropriate standards to reach these goals. A Tier III response has being prepared and implemented for Zinc and Copper for NCG030010 at outfalls SD004, SDO05 & SDO06 as indicated by the results for February. In March, Tier III was triggered for SDO02 for NCG030009. Thomas Buses has been sampling the storm water at various outfalls at each facility in general accordance with the NPDES permit. Zinc and/or zinc and copper have been detected in three of the outfalls at concentrations above the benchmark values in the permit on four occasions at the Courtesy Rd facility (NCG030010) and for zinc at the Fairfield Rd Facility (NCG030009). Thomas Buses has instituted tier I and tier 2 actions in the area of these outfalls including monthly monitoring and sampling, inspections, source and operational controls and physical improvements to reduce the concentrations of these constituents in the storm water. We are also inspecting and sampling other areas around and up gradient of these outfalls to determine other possible sources of these metals in the storm water. Please contact me if you have any question regarding this data or any other item Thomas Built Buses, Inc. is a subsidiary of Daimler Trucks North America LLC, a Daimler company, Sincerely, Alice Wesselman Environmental Manager Ahce,\Kiesselman@Dairnler.com Copy: WSROIDWQ Supervisor, Corey Basinger Jeff Gerlock, Blue Ridge Geological Services, consultant. Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit 4NCG30009) and Fairfield Rd (general permit #NCG30010) facilities for January and February 2014. Semi-annual Stormwater Discharge Monitoring deport for North Carolina Division of Water Quality General Permit No. N00030000 Date submitted &ck,vdt 7T' CERTIFICATE OF COVERAGE NO. NCG03 6 � � C' FACILITY NAME _ 111.c�VVIas �"t 1 �- —&o.se S COUNTY _ 6 uti l_Gn'cL — - - PERSON COLLECTING SAMPLES _ tZtck-cznd- CAA- v_``t 1 LABORATORY L. Lab Cert. # Comments an sample collection or analysis: _ --?-L�ln! 2(,��le•[ 5 wit�ytk�mtlkatni fGl� Part A: Stormwater Benchmarks andWonitoring Results SAMPLE COLLECTION YEAR gaol y SAMPLE PERIOD 0 Jan -June ❑ July -Dec or I Monthly' OYl UGt V month RECDISCHARGING TO CLASS ❑ORW ❑HQW Trout ❑PNA ENtV ❑Zero -flow ❑Water Supply ❑SA MAR 10 2014 ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 DWQlBOG ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 7-4-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =_-> _ - 100 mg/L or 50 mg/L4 6.0 -- 9.0 0.007 mg/L 0.033 sag/L 0.067 mg/L 15 mg/L 1 mg/L S'pal I y 2 g . a I. Es, d, 043 605 .0. a 67 s. 0'./4 nJ/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications -where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may b( waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. Forth ose facilities electing to employ the TTO monitoring waiver, the dischargers ha I I sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." :�l j�� ',VQJ S�f�l�fLr► Name (Print name) ,57q. t.r4)kj Svc i -�'v v�SrrY Title (Print title) 1 (Signature) (Date) Note: Results must be reported in numericai format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part 13: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil Per month. !VoNG rs C owe e&Hv_S sL6 ❑ No discharge this period?Z 5&4,t,� c(Aja a ®utfall No. Date Sample' Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =_=> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 sU SDO I ho .S is q P "-D c I ed 3 Footnotes from Part A also apply to this Part H * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Dat- 11/1/2012-10/31/2017 SWU-245, last revised aN25/2012 Page 2 of 3 ,! ►dote: if yc,., report a sample value in excess of the benchmark, you roust imp►t..,ent Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PA T A AND PART B MONITORING RESULTS: S Do 1 Gw.d. rler Z rear ZM �+ �a i-I Mi"C� 11s A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. c�,/ 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NO[] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ No ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this ®MP, includina all "No ®ischarae" reports, within 30 days of receipt of the lab resultsor at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMAT ION REPORTED: "I certify, under penalty of iavw that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my, inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the. information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 66Q,��'v �,O_A (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, iast revised 10/25/2012 Page 3 of 3 -S-.UI L F—,9"11J"5-E-51 March 31, 2014 Attn: Central Files DENR, Division of Water Quality Water Protection 1617 Mail Service Center Raleigh, NC 27399-1617 Dear Sirs: RECEIbff+3 :1 N.C.Deot. of -,', R , APR 0 z 2014 Winston-Salem Al ic@dt!t�skelrnaii �� Environntental Manager Thomas Built Buses, Inc. PO Box 2450 (27261) 1408 Courtesy Road I Iigh Point, NC 27200 336-881-6025 Phone 336-889-2589 Fax Subject: Tier III notice and 2014- February and March monthly NPDES permit NCG030000 analysis for two Thomas Built Bus Facilities in Guilford County . Enclosed are the storm water discharge monitoring reports for our Courtesy Rd (general pen -nit #NCG30009) and Fairfield Rd (general permit 4NCG30010) complexes as required by NPDES storm water permits. The samples Nvere pulled on February 23, 2014 and March 3, 2014. The samples were collected in lab prepared and preserved bottles and stored on iced when taken to R&A labs (NC cert.934). The samples were analyzed for the new metals Cu, Zn, Pb, 1)1-1, TPI-1, and TSS. The analysis is summarized on two sets of attached forms SWU-245. On January 17, 2014, Ms. Sandra Carter of DTNA met with DWR officials to discuss storm water issues and develop a response to mitigate ongoing storm water issues for all North Carolina Daimler Trucks N.A. manufacturing sites. Daimler remains committed to meeting the intent of our facility permits and the protecting surface water bodies of this state. We look forward to continuing to work with the DWR in maintaining appropriate standards to reach these goals. A Tier 1I1 response has being prepared and implemented for• Zinc and Copper for NCG030010 at outfalls SD004, SD005 & SDO06 as indicated by the results for February. In March, Tier III was triggered for SDO02 for NCG030009. Thomas Buses has been sampling the storm water at various outfalls at each facility in general accordance with the NPDES permit. Zinc and/or zinc and copper have been detected in three of the outfalls at concentrations above the benchmark values in the permit on four occasions at the Courtesy Rd facility (NCG030010) and for zinc at the Fairfield Rd Facility (NCG030009). Thomas Buses has instituted tier I and tier 2 actions in the area of these outfalls including monthly monitoring and sampling, inspections, source and operational controls and physical improvements to reduce the concentrations of these constituents in the storm water. We are also inspecting and sampling other areas around and up gradient of these outfalls to determine other possible sources of these metals in the storm water. Please contact me if you have any question regarding this data or any other item Thomas Built Buses, Inc. is a subsidiary of Daimler Trucks North America LLC, a Daimler company. Sincerely, Alice Wesselman Environmental Manager Alice.K\iesselman c D�imler.com Copy: WSRO/DWQ Supervisor, Corey Basinger Jeff Gerlock, Blue Ridge Geological Services, consultant. Attachments: DMR for Thomas Built Buses, Courtesy Rd (general permit #NCG30009) and Fairfield Rd (general permit #NCG30010) facilities for January and February 2014. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses, Inc. - FairField Complex_ COUNTY Guilford PERSON COLLECTING SAMPLES Alice Wesselman LABORATORYR & A Lab Cert. # 34 Comments on sample collection or analysis: 3.1C Part A: Stormwater Benchmarks and Monitoring Results March 25, 2014 SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' February month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH' Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic i Organics Benchmarks ==_> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L y 2/21/2014 .021 28 mg/1 6.7 <.005 mg/I <.005mg/I .044 mg/I <5.0 mg/I N/A Z 2/21/2014 .021 48 mg/I 6.6 <.005 mg/1 <.005 mg/I .035 mg/1 <.5.0 mg/I N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera, Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per rno th. (NONE= N/A) ❑ No discharge this period. Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3. Non -polar 0&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. DONE • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SE TION B. DONE • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES &INO0— IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: coe=g�!j ;PkS,na,-e Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _) .3 1 , r CERTIFICATE OF COVERAGE NO. NCG030009 FACILITY NAME Thomas Built Buses Inc. - FairField Complex COUNTY Guilford PERSON COLLECTING SAMPLES Alice Wesselman LABORATORYR & A Lab Cert. t# 34 Comments on sample collection or analysis: 3.1C Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' March (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) ❑ No discharge this period?2 Outfall No. 'Date Sample 1 Collected (mo/dd/yr) 24-hour. rainfall amount, IncheS3 Total Suspended Solids pH, _Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic s Organics Senthmorks ===> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L, 15 mg/L 1 mg/L SW01 3/3/2014 .18 30 mg/1 6.2 <.005 mg/I <.005mg/I .081 mg/1 <5.0 mg/I N/A SW02 3/3/2014 .18 4348 mg/I 6.05 <.005 mg/1 <.005 mg/I .068 mg/I <5.0 mg/I N/A ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the Tf0 monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics Mob I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See Genera! Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. (NONE= N/A) ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour. rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 - 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. DONE • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. SEE NOTES • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Carey Basinger Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Sy — (Date) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3